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Social anxiety disorder essay
Beck, A. T. 1990 Beck Anxiety Inventory
Essay social anxiety disorder
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Engagement – Issues Involved in Engagement Client motivation can range from outright resistance to eager anticipation. A client’s decision to change is one of the essential steps toward fulfilling goals and a successful outcome toward therapy. Other essential elements of engagement reflect the “quality of the interaction, the collaborative nature of developing goals for treatment and the bond between client and therapist (Thompson, Bender, Lantry, & Flynn, 2007, p. 39-40). Clients with social anxiety involve fear of social situations that involves interaction with others and fear of the process of therapy and their role in it. Barriers to treatment engagement often interfere with treatment initiation and engagement. Historically, clients with …show more content…
The Beck scales are validated scales used to measure and identify specific areas of dysfunction of the client. The Beck Anxiety Inventory (BAI) is a 21 item self-report inventory that discriminates between anxious and non-anxious respondents. The BAI requires clients to rate symptoms experienced in the past week. It uses a 4-point scale from (0) not at all to (3) severely it brothers me a lot. The total scores are obtained and give a summation of one of three interpretations rating the severity of anxiety from low to high anxiety (Lindsay & Skene, 2007, p. 403). The Beck Depression Inventory (BDI-II) is also a 21 item self-report questionnaire that measures behavioral, cognitive, and motivational symptoms of depression. The scale covers a 21 symptom attitude categories including cognitive, affective, somatic, and vegetative symptoms depression. Scaling of items 0-3. The scale has a scoring test reliability r-0.93, scoring internal consistency: Cronbach’s coefficient for BDI=II 0.92 (Lindsay & Skene, 2007, p. 403 & …show more content…
Consequently, a number of self-rated and interview based scales have been developed to assess the symptoms and severity of SAD. The Social Phobia Inventory (SPIN) is a 17 item self-rating scale for social phobia. It evaluates symptom domains of (fear, avoidance, and physiological arousal, etc..) over the past week. The 17 items are rated on a scale from 0 to 4: not at all, a little bit, somewhat, very much, and extremely; with the highest score corresponding to greater distress (Connor et al., 2000, p. 179). SPIN in adult populations has demonstrated good test-re-test reliability and divergent validity; in psychometric examination results have displayed a strong support for temporal stability, internal consistency and construct validity (Johnson, Iderbitzen-Nolan, & Anderson, 2006, p.
What would be the criteria used to distinguish between clinically significant fear and anxiety, and everyday fear and anxiety?
The Beck Anxiety Inventory is a 21-item scale that measures the severity of self-reported anxiety in adults and adolescents. The inventory was created by Aaron T. Beck and his colleague, Robert A. Steer, at the Center for Cognitive Therapy, University of Pennsylvania School of Medicine, Department of Psychiatry. The most recent edition was published in 1993 by The Psychological Corporation, Harcourt Brace & Company in San Antonio, TX. The first edition was published in 1988. The 1993 edition recommends different scoring guidelines than previous editions. There is only one form and one manual as part of the Beck Anxiety Inventory (BAI). To purchase the BAI in 2010, the manual and 25 scoring sheets would cost $110.00. This information is from the Pearson Assessments website.
Beck, A. T., Steer, R. A., & Brown, G. (1996). Beck Depression Inventory-II. Retrieved August 18, 2011from EBSCOhost.
Zung, W. W. K., (1965). A self-rating depression scale. Arch. Gen. Psychiatry. 12:63-70.[Duke Univ. Med. Ctr., Dept. Psychiatry, Durham, NC]
The Beck Depression Inventory measures depression criteria as evidenced in the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (Flanagan & Henington, 2005). The Beck Anxiety Inventory assesses childhood fears related to health and school (Flanagan & Henington, 2005). The Beck Anger Inventory appraises the individual’s opinion of mistreatment, negative thoughts, and physiological arousal (Flanagan & Henington, 2005). The Beck Disruptive Behavior Inventory measures behaviors and attitudes related to oppositional and defiant behavior (Flanagan & Henington, 2005). This is consistently seen in youth diagnosed with Oppositional Defiant Disorder and Conduct Disorder. Lastly, the Beck Self-Concept Inventory assesses feelings of self-worth and competence (Flanagan & Henington, 2005).
Motivational interviewing is based on a client centered approach to therapy that uses open-ended questions, affirmation, reflective listening and summaries to help the client recognize the pros and cons of change and their reasons for resisting change thereby eliminating their ambivalence about change. Once the client deals with their ambivalence the Miller and Rollick believe that the client will be able to make the necessary changes. In addition, motivational interviewing gets the client to argue for change not the counselor. Furthermore, the client not the counselor is responsible for their progress.
SAD can lead to avoidance of social situations and interactions with others (Kashdan, Farmer, Adams, Mcknight, Ferssizidis, Nezelf, 2013). The lifetime prevalence rate in the United States is at 12%. When SAD is not treated the disorder will steadily progress overtime (Willutzki, Teismann, Sch...
Engagement is the process in which the client becomes an active participant in treatment. Clients who are involved in this part of the therapeutic process are more likely to experience positive outcomes of treatment. The engagement process involves developing an “agreement on the goals and tasks of treatment” through the collaboration of the therapist and client (Friedlander, Escudero & Heatherington, 2006). This paper will explain evidence-based techniques that are used to engage clients in a behavioral setting. The reader will be able to identify why the different techniques are used, and they will be able to identify the barriers of engagement with diverse populations.
The second edition of this measuring instrument includes other symptoms existing in patients with Depression. The BDI-II has 21 items to evaluate the acuteness of depression in individuals previously diagnosed and those with transitory emotional distress due to specific circumstances in their lives. (Pearson, 2016). On the other hand, the reliability of this instrument is .92 in comparison with the first edition with a Coefficient Alpha of .86 from a 500 sample (Pearson,
This commercially available assessment instrument is called Beck’s Depression Inventory. Beck’s Depression Inventory is a psychometric test that measures the severity of an individual’s depression. This is a self-report measure questionnaire that consists of about 21 questions. The (BDI) is the most widely used self-rating scale for quantifying levels of depression. This assessment tool was to choose for this study because it will help me to better understand the participants descriptions of the symptoms they experience will being depressed. The test takes about 5 to 10 minutes to
The first assessment that to be considered for mental health issues is the Beck Depression Inventory II. The revised version of the original BDI consists of 21 questions that access the symptoms and cognitive feelings on a 4-point scale, which is given by the clinician or in written form (Back and Steer, 1993). The BDI II should not take more than 15 minutes and depending on the total score will result in a mild, moderate or severe depression evaluation of the test taker (Back and Steer, 1993). The BDI II is one of the founding assessment tools to monitor the level of depression in individuals. The revised version allows for assessing the changes in sleep and appetite (Erford, Johnson & Bardoshi, 2016). The tool does not suggest any
Of the 175 respondents, 28 were excluded due to reported histories of major depressive disorder and 32 others were excluded based on self-reports of more than two distinct episodes of dysphoric type symptoms. The remaining 115 respondents were eventually administered the Beck Depression Inventory (BDI) and deemed to be of appropriate mental health status for the purposes of the current study.
In adults, social fear is a very common issue because millions of adults worldwide suffer from it and it has often turned out to be a traumatic and devastating condition that they face each day. The fear may come from a particular social fear or a general social fear. For instance, epidemiological studies carried out by the United States recently ranked social fear as the third biggest psychological disorder within the region; it comes right after depression and alcoholism. Furthermore, an estimated 7 percent of this population currently experiences some kind of social fear. Moreover, the rate of lifetime prevalence for the growing social fear disorder ranges from 13 to 14 percent. Hence, it is important to study the concept in order to understand the characteristics and symptoms that contribute
More recently than Alfred Adler’s day (Adler lived from 1870 to 1937), is a study that demonstrates the importance of goal setting. In this 1983 study, clients who dropped out of therapy after one session were compared to those who stuck with therapy for a longer period of time (Epperson, Bushway, and Warman, 1983). One component of this research was the recognition that clients who stayed in therapy
Regarding self-assessment on chapter 14 (Are you afraid of death?), I would be classified into average anxiety. I scored 10 points in the questionnaire which is far from the 24 points limit to be “unusually anxious”. In general, I’m not afraid of death, I have my beliefs about death and afterlife and dying does not represent a source of anxiety in my life. However, I scored those 10 points because I do care about the people I would left behind. For example, in question 12, I answered Very True (4 points) since I have fears of what could happen to my family after my death. Especially if I die young I cannot even imagine what would have happened to my parents and sister. Overall, I am more afraid of the pain others may feel when I die than death